Evidence map›Paper›PMID 36584844›Full record

ArticleEnvironmental research2023

Short-term associations between warm-season ambient temperature and emergency department visits for Alzheimer's disease and related dementia in five US states.

Yuzi Zhang, Stefanie T Ebelt, Liuhua Shi, Noah C Scovronick, Rohan R D'Souza, Kyle Steenland, Howard H Chang

Abstract read
In one paragraph

Article in Environmental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Estimating Heterogeneous Exposure Effects in the Case-Crossover Design using BART.Journal of the American Statistical Association · 2025
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  17. Investigating effects of air quality and weather on brain volumes.Proceedings of SPIE--the International Society for Optical Engineering · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yuzi ZhangDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: yuzi.zhang@emory.edu.
Stefanie T EbeltGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.
Liuhua ShiGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.
Noah C ScovronickGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.
Rohan R D'SouzaDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Kyle SteenlandGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.
Howard H ChangDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Funding

Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Air Pollution and Alzheimer's Disease and Related Dementias: A National StudyR01AG074357 · NIA · EMORY UNIVERSITY · PI STEENLAND, NELSON K · 2021 to 2025
$3.4M
Data Integration Methods for Environmental Exposures with Applications to Air Pollution and Asthma MorbidityR01ES027892 · NIEHS · EMORY UNIVERSITY · PI CHANG, HOWARD H · 2017 to 2021
$2.7M
Climate Penalty: Climate-driven Increases in Ozone and PM2.5 Levels and MortalityR21ES032606 · NIEHS · EMORY UNIVERSITY · PI CHANG, HOWARD H · 2021 to 2022
$456k
NIA NIH HHS R01 AG074357NIEHS NIH HHS P30 ES019776NIEHS NIH HHS R01 ES027892NIEHS NIH HHS R21 ES032606
6 · The paper itself

Abstract

backgroundAmbient temperatures are projected to increase in the future due to climate change. Alzheimer's disease (AD) and Alzheimer's disease-related dementia (ADRD) affect millions of individuals and represent substantial health burdens in the US. High temperature may be a risk factor for AD/ADRD outcomes with several recent studies reporting associations between temperature and AD mortality. However, the link between heat and AD morbidity is poorly understood.

methodsWe examined short-term associations between warm-season daily ambient temperature and AD/ADRD emergency department (ED) visits for individuals aged 45 years or above during the warm season (May to October) for up to 14 years (2005-2018) in five US states: California, Missouri, North Carolina, New Jersey, and New York. Daily ZIP code-level maximum, average and minimum temperature exposures were derived from 1 km gridded Daymet products. Associations are assessed using a time-stratified case-crossover design using conditional logistic regression.

resultsWe found consistent positive short-term effects of ambient temperature among 3.4 million AD/ADRD ED visits across five states. An increase of the 3-day cumulative temperature exposure of daily average temperature from the 50th to the 95th percentile was associated with a pooled odds ratio of 1.042 (95% CI: 1.034, 1.051) for AD/ADRD ED visits. We observed evidence of the association being stronger for patients 65-74 years of age and for ED visits that led to hospital admissions. Temperature associations were also stronger among AD/ADRD ED visits compared to ED visits for other reasons, particularly among patients aged 65-74 years.

conclusionPeople with AD/ADRD may represent a vulnerable population affected by short-term exposure to high temperature. Our results support the development of targeted strategies to reduce heat-related AD/ADRD morbidity in the context of global warming.

Indexed as

Alzheimer DiseaseAgedEmergency Service, HospitalHot TemperatureHumansSeasonsTemperatureAlzheimer's diseaseAlzheimer's disease-related dementiaEmergency department visitsHeatTemperature

Identifiers

PMID36584844
PMCPMC9898200

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.